DR. PRADIP M PATEL (M.D.) – Internal Medicine Physician, NPI 1194044388

DR. PRADIP M PATEL (M.D.) is a healthcare provider. based in Fort dix, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25MA07004800 (NJ). The NPI Number for DR. PRADIP M PATEL (M.D.) is 1194044388

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRADIP M PATEL (M.D.)
NPI
1194044388
Phone
(609) 723-1100
Address
5756 HARTFORD ROAD
Enumeration Date
27 May 2010
Last Update Date
10 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6094090600
Graduation Year
1995 (31 years ago)
PAC ID
5799053120
Group Practice PAC ID
7618114323
Professional Enrollment ID
I20170607003020
Address ID
NJ088313822MO298XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,887 INTERNAL MEDICINE in NJ

Provider Addresses for DR. PRADIP M PATEL (M.D.)

  • 5756 HARTFORD ROAD

    FORT DIX, NJ 086400902

    Phone: (609) 723-1100

    Type: Location

  • PO BOX 38

    FEDERAL CORRECTIONAL INSTITUTION, HEALTH SERVICES DIV.

    FORT DIX, NJ 086400902

    Phone: (609) 723-1100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: ABBVIE INC. ($261).

Total Amount

$291

General + Research + Ownership

Payments

6

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170607003020IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 08640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618114323View full group profile
NameSpecialtyState
-NJ
Physician AssistantNJ
Physician AssistantNJ
Family PracticeNJ
-NJ
Nurse PractitionerNY
Nurse PractitionerNJ
Physician AssistantNJ
Family PracticeNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PRADIP M PATEL (M.D.)?
DR. PRADIP M PATEL (M.D.) — NPI 1194044388 — is the standard way to identify this listing.
Does CMS list DR. PRADIP M PATEL (M.D.) as active?
Yes — DR. PRADIP M PATEL (M.D.) is active in the NPI listing used on this page.
What is DR. PRADIP M PATEL (M.D.) best known for clinically?
Directory data describes DR. PRADIP M PATEL (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PRADIP M PATEL (M.D.)?
DR. PRADIP M PATEL (M.D.)'s geographic hint is Fort Dix, New Jersey in our summary view.
Is the information about DR. PRADIP M PATEL (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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